House Staff Manual - Winthrop University Hospital

More documents

Recommendations

Info

TREATMENT OF EMERGENCY DEPARTMENT PATIENTSAll members of the House Staff on rotation in the Emergency Department are supervised by andresponsible to the ER attending physician on duty and through him or her, to the Chair of AmbulatoryCare.All House Staff members must discuss cases with the attending physician on duty. The attending isresponsible for countersigning the record, affirming his/her supervision.All House Staff members must discuss their cases with the attending physician as soon as they havecompleted a pertinent history, physical and have developed a differential diagnosis. The plan of carewill be developed in collaboration with the attending physician. This will include but not be limited todiagnosis, treatment plan and disposition. When the work-up is complete, the resident must againdiscuss the patient with the ED attending for final disposition. At that time, the ED attending willcountersign the chart. No patient should leave the ED before the ED attending discusses the finaldisposition and countersigns the ED chart.All PGY-1’s are to participate in an orientation to the ED with the Chair of Ambulatory Care or hisdesignee prior to starting their rotation.ATTENDANCE AT AMBULATORY TEACHING PRACTICEHouse Staff must attend an assigned ambulatory teaching practice on time according to the schedule. Eachhouse officer is directly responsible to the attending physician supervising the resident’s teaching practicesession.Absence from ambulatory teaching practice duties will be approved only under the followingcircumstances: vacation, sick leave, violation with duty hour requirements and special situations at thediscretion of the teaching faculty. The house officer will be responsible for notifying the teachingpractice.If housestaff are delayed in getting to their Ambulatory Practice on time, due to the need to provideemergent/urgent care in the inpatient units or the Emergency Department, they are to notify the ChiefResident who will attempt to get coverage. They should also notify the teaching practice and estimatethe delay in getting there. House Staff are expected to plan their patient care activities so that they canattend the teaching practice on time.TREATMENT OF HOSPITAL EMPLOYEES AND OUTPATIENTSHouse Staff are permitted to treat outpatients and hospital employees only within the ambulatory teachingpractices and the Emergency Departments, always under the direct supervision of an attending.ADMINISTRATIVE RESPONSIBILITIESAll members of the House Staff have professional, graded responsibilities as follows: All members of the House Staff on each service are directly responsible to the Senior Resident on thatservice and are responsible for any students on the service. Residents in turn, are responsible to theChief Resident and attending physician, and ultimately, to the Chairperson of the department.In administrative matters, members of the House Staff are responsible to the Chairperson of theirclinical department and the President of the Hospital.58. RESPONSIBILITIES OF WINTHROP-UNIVERSITY HOSPITAL TO HOUSE STAFFWinthrop-University Hospital has the following obligations:To provide a stipend and benefits to the House Staff as outlined in the Resident Agreement and in thisHouse Staff Manual.Rev. 1/08
To provide an educational training program that meets ACGME accreditation standards, includingteaching and evaluation of the core curriculum competencies of Patient Care, Medical Knowledge,Practice-Based Learning and Improvement, Interpersonal & Communications Skills, Professionalismand Systems-Based Practice.To provide the House Staff with adequate and appropriate support staff and facilities in accordancewith federal, state, local and ACGME requirements.To orient the House Staff to the facilities, philosophies, rules, regulations, and policies of the Hospitaland the Institutional and Program Requirements of the ACGME.To provide the House Staff with appropriate and adequate faculty and Medical Staff supervision for alleducational and clinical activities.To maintain an environment conducive to the health and well-being of the House Staff.To provide the following services: food and sleeping quarters for House Staff on duty in the Hospital;patient and information support services; security; as well as housing, uniforms, laundry, and parkingas set forth in this House Staff Manual.To evaluate, through the Program Director or his/her designee and program faculty, the educationaland professional progress and achievement of the House Staff on a regular and periodic basis. TheProgram Director shall present to and discuss with the Resident a written summary of the evaluationsat least once during each six-month period of training and/or more frequently if needed.To provide a fair and consistent method for review of the resident’s concerns and/or grievances,without the fear of reprisal.To provide resources necessary to comply with accreditation and regulatory standards.Upon satisfactory completion of the program and the Resident’s responsibilities contained herein, tofurnish to the Resident a Certificate of Completion of the Program.59. RESTRICTIVE COVENANTSAs per ACGME Institutional Requirements, ACGME accredited training programs must not requireresidents to sign any non-competition guarantees. Winthrop may not and will not impose any restrictivecovenants as a condition of residency.LEGAL/ ADMINISTRATIVE CONSIDERATIONS ANDPROCEDURES60. BRAIN DEATH GUIDELINESThe determination of brain death shall be made in accordance with the Hospital policy, "Determination ofBrain Death." (See Hospital Policy P-10-5.)Brain death is defined as irreversible cessation of all functions of the entire brain, including the brain stem.An attending neurologist or neurosurgeon can only make the determination of brain death. Underno circumstances shall post-graduate trainees make the determination or declaration of brain death.Rev. 1/08
Page 1 and 2: OFFICE OF ACADEMIC AFFAIRS222 Stati
Page 3 and 4: Winthrop-University HospitalHouse S
Page 5 and 6: WINTHROP-UNIVERSITY HOSPITALHOUSE S
Page 7 and 8: 72) Institutional Review Board73) O
Page 9 and 10: HOUSE STAFF BENEFITSAND SERVICES1.
Page 11 and 12: The New York State Department of He
Page 13 and 14: valuable information and resources,
Page 16: 25. STUDENT LOAN DEFERMENTSResident
Page 19 and 20: the program director. Residents sho
Page 21 and 22: 2. Residents shall not be scheduled
Page 23 and 24: PROCEDUREImmediate Action:1. Clinic
Page 25: All House Staff are evaluated in wr
Page 28 and 29: appropriate in every circumstance.
Page 32 and 33: Delegating professional responsibil
Page 38 and 39: The commencement of brain death cri
Page 40 and 41: Diseases in all capital letters req
Page 42 and 43: Either the patient or person consen
Page 44 and 45: If a patient has a living will, it
Page 46 and 47: should be referred to Risk Manageme
Page 48 and 49: Refusal of treatment on behalf of a
Page 50 and 51: Sentinel events are considered unex
Page 52 and 53: Discharge plans are made based on p
Page 54 and 55: 2. Telephone orders are limited to
Page 56 and 57: 8. The Heath Information Management
Page 58 and 59: Manual kept at each nursing station
Page 60 and 61: The Microbiology Lab on the second
Page 62 and 63: Intravenous fat emulsion or solutio
Page 64 and 65: 1. Diagnostic ProceduresEmergency R
Page 66 and 67: using a bar code format and your pe
Page 68 and 69: 100. PATIENT RELATIONSStaff in the
Page 70 and 71: patient has the right to timely not
Page 72 and 73: infections in body and other body f
Page 74 and 75: Winthrop-University HospitalFrequen
Page 76 and 77: Pulmonary (Dir.) ..................

House Staff Manual - Winthrop University Hospital

Create successful ePaper yourself

Delete template?

Save as template?